Cardiac Anatomy
Acute Coronary Syndrome
Differential Diagnosis
Cardiac Medications
BLS CPR
100

The largest artery in the body that carries blood from the heart.

Aorta

100

What is the recommended first-line medication to give a conscious patient with suspected ACS?

Aspirin

100

Crushing chest pain that radiates to the jaw or left arm is classic for this.

Myocardial infarction

100

This medication is given to reduce clot formation in patients suspected of having a heart attack.

Aspirin

100

How deep should chest compressions be for an adult during CPR?

2 inches

200

Which valve prevents backflow from the right ventricle to the right atrium?

Tricuspid valve

200

Name the classic symptom of ACS that usually presents as pressure or squeezing in the chest.

Angina

200

Sudden onset chest pain with shortness of breath and a history of recent surgery could indicate this life-threatening condition.

Pulmonary embolism

200

What is a common side effect of nitroglycerin that patients may experience?

Headache

200

Name the ratio of compressions to breaths in two-rescuer adult CPR

30:2

300

What is the name of the bundle of specialized heart muscle fibers that conducts impulses from the AV node to the ventricles?

Bundle of His

300

Besides chest pain, name two other common symptoms of ACS.

Shortness of breath & diaphoresis 

300

What emergency occurs when the heart is unable to pump blood effectively?

Heart failure

300

Why is aspirin given as a chewable tablet during an acute cardiac event?

Allows faster absorption into the bloodstream

300

What’s the first step in the BLS chain of survival?

Early recognition and activation of EMS

400

This muscle layer of the heart is responsible for contraction.

Myocardium

400

What 5 lifestyle factors increase the risk of developing ACS?

Smoking, high cholesterol, hypertension, diabetes, and sedentary lifestyle

400

A tearing chest pain radiating to the back could suggest this vascular emergency.

Aortic dissection

400

This medication is contraindicated in patients with a right ventricular infarction.

Nitroglycerin

400

Name the ratio of compressions to breaths in two-rescuer pediatric CPR

15:2

500

Name the thick muscular wall that separates the left and right ventricles.

Interventricular septum

500

What are the main arteries commonly blocked during ACS?

Left anterior descending (LAD), right coronary artery (RCA), and circumflex artery

500

A child with a history of CHD suddenly becomes blue and lethargic. SpO₂ is 72% and does not improve with oxygen. What should you suspect?

Tetralogy of Fallot

500

What medication is given at the ALS level for cardiac arrest?

Epinephrine 

500

What’s the main reason why excessive ventilation during CPR can be harmful?

Decreases venous return and cardiac output

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